Janet: “How do you provide additional amounts of absorbable hormones to the body?”
Dr. Borkin” When it comes to supplementation, we only have a handful of methods of getting it into the body. If you take supplements orally, there is no guarantee that when you put something in your mouth it ever gets to the target tissue, especially, if we have some kind of digestive disturbance or malabsorption.
Dr. Borkin: “If something interferes with the proper absorption or utilization of nutrients or hormones, then the oral route is not really the first choice. When it comes to the use of a hormone, there is the “First Pass Mechanism” where a hormone is utilized through the digestive tract to get it into the blood stream.”
“When we take a look at this mechanism, it relies on the digestive tract working properly. The liver must work correctly in order to obtain approximately 5% of the hormone for use in the body. That is like depositing a hundred dollars into your bank account and getting to use five dollars. So, it is not a real effective method of getting the money into the account.”
Dr. Borkin: “The same is true as far as contributing hormonally. If we wanted to get these hormones into the blood stream, in their entirety, we would use injectibles. But, that is not real user friendly. Most people would not want to do that several times a day, even if it was medically indicated.”
Dr. Borkin: “A new delivery system is “Transdermal Delivery.” I have been working with this technique for twelve years. In the last twenty years, scientists have been focusing on this type of delivery system. Transdermal delivery mechanisms, such as the Nicorette, testosterone and estrogen patches, are now treatments of choice.”
Dr. Borkin: “These are mechanisms applied to the skin. The chemicals are delivered through the skin. You get the equivalent of what you would get if it was injected directly into the body. It is no different injecting than it is to take something transdermally, if it is a true transdermal device.”
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